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HomeMy WebLinkAbout09-9551 CITY OF ZEPHYRHILLS 5335 -8th Street (813)780 -0020 9551 ELECTRICAL PERMIT Permit Number: 9551 Address: 38220 HENRY DR Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE /NEW Township: Range: Proposed Use: COMMERCIAL Lot(s): Block: Section: Contractor: DELGADO ELECTRIC INC Book: Page: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: 2,400.00 � �� t C F Date Issued: 9/16/2009 Name: HCR MANOR CARE Total Fees: 45.00 Address: 38220 HENRY DR Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/16/2009 Phone: Work Desc: INSTALL 10 NEW DUPLEX RECEPTACLES FOR MONITORS ig �v .,iu ,: *ligg ,,,�','„3. ia m 7 w Fk_. ELECTRICAL FEE 45.00 ROUGH ELECTRIC ` CONSTRUCTION POLE 73() PRE -METER FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspection called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be perform in accordance with City Codes and Ordinances. 6 6g- - fOr `CONTRACTOR PERMIT OFFI F PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER SEP/15/2008/MON 03:30 PM ZEPHYRHILLS BUILDING FAX No. 813 780 -0021 f , / I P, 001 • 813- 780-0020 City Of Zephyrhills Permit Application y Fax -813- 780.0021 Building Department • Date Recelyed . • . Phone Contact for PermItti , . ' _ . • • -- , • • /� - ' 1 O f ht Ll S Owner Phone Number Oyuner's Name t �✓ Y Owner's Address . • 1 77 2 6 // y � v e • Owner Phone Number I • I 1 6 Fee Simple Titleholder Namel • Owner Phone Number I Foe Sim le Titleholder Address • . P Z i 1/.e D l v im ' LOT # 1 . ( . JOB ADDRESS , .SUBDIVISION. • • 1 . PARCEL ID#L (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I • NEW CONSTR , ADD /ALT n SIGN I MOVE n • DEMOLISH . INSTALL • . • REPAIR PROPOSED USE' . . n SFR . • • . COMM n OTHER I , I p(PE Of CONSTRUCTION n BLOCK . • . n • , FRAME ' .1 STEEL n OTHER I 1 • DESCRIPTION OF WORK • . N Z) 5>►4 /0 /e • k - eS '4,e__ . /7 () ti 1 .4cs . BUILDING SIZE I SQ FOOTAGE HEIGHT 1 I BUILDING IS VALUATION OF TOTAL CONSTRUCTION [] ELECTRICAL AMP SERVICE 11 PROGRESS ENERGY - n W.R.E.C DO .00 ED PLUMBING IS • Q MECHANICAL $ • VALUATION OF MECHANICAL INSTALLATION • (-I GAS (l ROOFING 1 I SPECIALTY I — { OTHER , • FINISHED FLOOR ELEVATIONS • . FLOOD ZONE AREA []YES • • I INO • COMPANY I • • BUILDER t • SIGNATURE REGISTERED I Y/ N I FEE CURRENT: I . Y / N I Address I I • . ' Ucense # I ELECTRICIAN lib, COMPANY I DtLer4' /�� E 1& etc_ 1-i• C . SIGNATURE . REGISTERED • I YIN I FEE CURRENT ' I Y / N I Address 1 1* 26 NO / ` a_zill z ,4 1 fr'lf4 33tQ r Lf • License # I EC c 0 2-7 I? PLUMBER • . .COMPANY . SIGNATURE . . REGISTERED I Y / N I • FEE CURRENT . I Y / N 1 Address I • • . . . • • • . . 1 License # 1 1 MECHANICAL COMPANY 1 ' SIGNATURE ' . REGISTERED I Y / N 1 FEE CURRENT I Y 1 N I • • Address 1 1 , Ucense # . I • . aTNER COMPANY 1 • SIGNATURE . • • REGISTERED I . Y / N I FEE CURRENT I Y / N I Address I •. • • I . • License # [ • RESIDENTIAL • Attach (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, • ' Minimum. ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Slit Fence Installed, Sanitary Facilities 8 1 dumpster, Site Work Permit for subdivisions /large protects COMMERCIAL • • Attach (3) complete sets of Building Plans piths a Lite Safety Page; (1) set of Energy Forms. R-Q-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans_' • PROPERTY SURVEY required for all NEW construction_ • • _ Directions: ' • • ' • Flit out application completely. • • . ' • • • • Owner•& Contractor sign back of application, notarized . If over $2500, a Notice of Commencement Is required. (A/C upgrades over ;5000) , • * Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same - OVER THE COUNTER PERMITTING (Front of Application Only) • Reroofs Sewers Service .Upgrades • A/C Fences (Plot/Survey /Footage) , DriyeWaye Not over Counter If on public roadwaya.:neede ROW • . • • SEP/15/2008/MON 03:30 PM ZEPHYAHILLS BUILDING FAX No. 813-780-0021 P. 002 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to 'deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND •CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor Is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the Intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727-847 - 8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he Is not properly licensed and Is not entitled to permitting privileges in Pasco County, TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of • use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be Identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid, prior to receiving a "certificate of occupancy" or final power release. If the project does not Involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact • fees are due, they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713,. Florida Statutes, as amended): If valuation of work Is $2,500.00 or more, certify that I, the applicant, have been provided With a copy of the "Florida Construction Lien Law— Homeo*ner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. • CONTRACTOR'S /OWNER'S AFFIDAVIT: 1 certify that all the information in this application is accurate and that all work will 'be done In compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as Indicated. I certify that no work or installation has commenced prior to Issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that i understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterlWastewater Treatment. - Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses_ Army Corps of Engineers- Seawalls, Docks, Navigable Waterways. - • Department of Health & Rehabilitative Services /Environmental I-lealth Unit - Wells, Wastewater Treatment, Septic Tanks. • US Environmental Protection Agency- Asbestos abatement. - Federal Aviation Authority- Runways. . I understand that the following restrictions apply to the use of fill: - - Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material Is to be used In Flood Zone "A ", it Is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "k in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. • If. fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent • properties. If use of fill Is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit applicatlon, for Tots Tess than one (1) acre which are elevated by fill, an engineered drainage plan Is required. If I am the AGENT FOR THE OWNER, I promise in good faith to Inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included In the application. A permit Issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit Issued shall become Invalid unless the work authorized by such permit Is commenced within six months of permit issuance, or If work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced_ An extension may be requested, In writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. if work ceases for ninety (90) consecutive days, thejob Is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. iF YOU INTEN ' • OBTAIN FINANCING; CONSULT WITH Y • UR L . DER s - AN • u ORN 4 BEF • • ERE ORDI YO • NO i' C • EN MENT FLORIDAJURAT (F:8. 117,03) .� OWNER OR AGENT CONTRACTOR c. Subscribed and swum to (or affirmed) before me this S sniped and swam o (o affirm= •) , e . re I ,� by cf'/0 by Li Who Is /are personally known to me or has/have produced Who is/are personas known to me or has/have produced as Identification. as identification. Notary Public \ � Ir.=t� _ - • Notary Public • • ` mis i �k JAC BOGES Commission No. „ 1 •n • • • •'res December 12, 2010 Name of Notary typed, printed or stamped : Name of Notary lyli ;,," t -•. Y" .�' CITY OF ZEPHYRHILLS CONTRACTOR CERTIFICATE 5335 8TH ST. ZEPHYRHILLS, FL 33542 PERIOD COMMENCING OCT. 1, 2009 TO SEPT. 30, 2010 License: HILLSBOROUGIExpires: 9/30/2010 Type: CERTIFIED ELECTRICAL Certified: EC0002798 Qualifier: DELGADO, HECTOR Expires: 8/31/2010 Ph: (813)876 -4782 Insurance: GL0006157 Expires: 1/21/2010 Workers Comp: 8400021572009A Expires: 1/21/2010 Notes: DELGADO ELECTRIC INC L 4820 N. CLARK AVE � C� 41/4.4 TAMPA TAMPA FL 33613 CITY ANA This registration expires each year on Sept. 30. DELGADO ELECTRIC INC., P.O. BOX 151054 • • TAMPA, FLORIDA 33684 • (813) 876 - 4782 .., 876 -4787 FAX • facsimile fransrnittal TO; Bobbi Fax: 813 - 780 -0021 From: Mary Ann Mullin Date: 09/13/2009 LP CO Re: Pages: (4 ) INCLUDING COVER CC: TimeSent: \� ❑ Urgent For Review O Please Comment 0 Please Reply 0 Please Recycle `� .}moo LfJ Bobbi, t Here is the information we spoke about l o I just checked with Mike k ibr°9- Hartnett and he said there is no general contractor _ What do (fro wedonow? Please give me or call @ 813- 876 -4782. -ft/w)://1. ` Thank you so much for your help. MaryAnn V� V' y v fl cc c� �1rnrn4411��NN J w cc Li • HILLSBOROUGH COUNTY B.USINESS TAX RENEWAL INSTRUCTIONS Chapter 205.0535 (5) Florida Statutes requires one of the following: FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER 1. SIGN and return entire form in enclosed envelope. Your validated Business Tax receipt will be returned to you. 2. Business Tax receipts expire midnight, September 30th. Failure to display a valid Business Tax receipt after September 3Dth is a violation of Hillsborough County Ordinance 95-4, as amended by 02 -5. MAKE CHECK PAYABLE TO: DOUG BELDEN, TAX COLLECTOR P 0 Box 172920 TAMPA, FL 33672 -0920 M 2009 -2010 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9 FOLIO ND. - - M 0 0 0 10 1245 CC , H. WASTE TAX - OCC. CODE BUSINESS TYPE SURCHARGE 0 090.006 CONTRACTOR - ELECTRICAL CLASS A 18.00 M CD CD 7 C.• BUSINESS R . ,t A � ,;y: - ; N 1, 4 ¢.. _ \ : LOCATION • • • P - ° .3 1 s 1.....3 1.....3 i tic :_ -. k.': _ - XPAIUf o LL-Pi NAME .,,,.= .,,,.= +g r "L•34.1 ' � IT ' g ta7i:rrs IT ft;r7rs9h County Tai all ;• 1 1 i ., -- T�gag. t' _ Rat r,A 1-1 - .c t : i �ICI4 '3ii8G �l' - MAILING DEL IN INC r a ;'r Tr :a • v- r• • I i E 'rt: Y % 1 •,`: .Y'.l'i: iF't- 4: 016475 co ADDRESS 4820 N CLARK AVE Acct: C01245 Pas Cade: 4106 o TAMPA FL 33813 CD CI ?; (IP / 9 NTEI3 2011) $6`6.1(0 N - BUSINESS TAX 1,B }i,,.e "cr r �:� Fioi' dcl .tat•utesr r.4uiN' �.E�. r. sr- :s•t•rr_rrt tc r:rJiliF:•_t. 5ccila DOUG BELDEN, TAX COLLECTOR :.e cur ;t'd nuaber•s rat. the issucirr;:e al a HAS FEREar ENO APkVLLEGE TAX TOENGAGE 813. 635.5200 . J'- :< r : I p i1= .1:'.i? r uft:t. . cW R In eusnESE. PEWES.S+oN, cot THIS BECOMES A TAX RECEPT WREN VALIDATED. ; ,•lr' 1 0, , ,, 'AY Z w C::'ieci: T ndar'ed: $656, :1EI 1- 4106 00124500000 000018002 000000000 t ... :rT . - -= r , s , 1 W. 1�5aY rP-:y . �. - I n(�`- :- . _.1 t_ 1Y7� -! ' - -.t - •3 95 ' , 41:7 .. _ ' . ,.., • • " r a y ,, °sl ( - ' IDA • ,.� . . _ „ . .,',L,: V - ,.r- •1# , r-� ; ,,,,,./.1 : ' ,_i. : .1_,,,A' , F a : _ � ,.. :;*' $S ZONAL REGULATION -. .s r .� x':i �•% , Nc ; ! '' � a I .. CEW S INE3 BOARD :f. ._ ' : . `: ;= 4 s ' A • DATE: • I ` I ' � 4•i� - N.J. ` 'JnSFS89 Y'� � I 08' ,27• t t Q ' • #t � _ '� ! r ` Namedk,. ` e -, e � ` - '� h • = - " n i* E Explrats.On- date: AU mo t, : '-4 -IT ,i ,{,1& . • _ J _ — '4i- l'ix-.; AI J l� i \ '!". � '• . ..,!` i. .� ] . •."r: - . . ., S' D$T ♦Y r ° � r u t7 • •, " '.-->.— c ) � rF , - • Q r'�. ��� `C i . .. 4 BZQ'N. rr.Ltt(V i,x f >w . is o r ' O b ' ` , , t TAMPA �r ���� �J .t" iE` r . - . t. go. :fit +:•' cc • X � ,. 4 . ?- . ,. „ , g- .- , ' .l " CHARLES WP DRAGO • L,l?R. s . . b': fir. „c:.. ,::_.c SECRETARY .. _ .- '. • _ . `t WIRED-BY LAW ACORD CERTIFICATE OF LIABILITY INSURANCE I SHATIOJYY"n st 09f16,20011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Pligtigt1145lRANCECp�,ING ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BCD(100770 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CAFE OC RAL, 8.328104770 23g642.7101 INSURERS AFFORDING COVERAGE NAIC# INSURED 1 .f3 ■DO ELECTRIC, INC.. INSURER A • w INSURANCE OOIPAIYY P O B{D(151064 s tsuRER B: FFVA MJIUAL RI$.RIWCE °GIMP ( TAMPA, 8.33614 INSURER C. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWRHSTANCING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V.ITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR - MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND COND.TIONS OF SUCH FOUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �C gg E[���T� oucy p�1Rp71p I11R A. TrPFns INSMRANcF POLICY NUMBER L16tLiAV6bNY1� v 11TTC[IIwDi ' UM11 0o GENERAL LIABILITY EACH OCCURRENCE E I. OCO L.0 A X COMMERCNLGENERALLABILITY GL0000157 01/21/2009 01/21;2011) DAMAGETORENTED PRFMRFS [Faemoom•Ht b Co 1 CL NMS MADE © OCCUR ,, EXP (Ark Amax S 10 v WADY RY S 1,00Q000 0) 11111 pn GENERALAAGGREGATE S 240E4000 Co 1 GEHL AGGREGATE LEFT APFtESPER: PRODUCTS- COMPCPACE S$000,000 O (� 1 z PoUCY IFF 1 7 1 LOC v AUTOMOBILE UABIUIY o caMIBINEO srvGLE LIMIT S 7,000,000 A © ANY AUTO CA0012754 01721/20O9 OII21UZDIO (Ea modem v ■ At CoMEDAUIOS . BCOILYINJURY ■ SMHEDULEDAUTOS (Pa penal) co _ © HREDALTOS EIDOILYINJLRY o © IDNOWNEDAUTOS tlkr=A N 1 ■ PROPERTYOVMAGE • (Per 1 r o GARAOEULBUTY AUTO CNLY -EA ACCIDENT 1 0 CV Ini MT/ AUTO OTHER THAN EA ACC $ AUTO OILY: AGO S Lc, ,_ EXCESSMUMBRELLA MAMMY , OCCURRENCE s MIMEO w A © aI CcR 0 CAMS MADE 011211 0172172010 AGGREGATE E VIA WO cc, S w OEDUCIBLE S . X RETBdi1ON $ 1 O9O 00 S 1MORISERSCCMPENSATIONAMC X t TciFEV 1 Nns ra ni CI 1 TH EMPLOYERS' BEAUTY FR B ANY DYER qIE7LRIPARTNER>E%ECITNE 1572 -Z OB 01/21/2009 O'I12114 0 El. EACH ACCIDENT $ wow OFF ICERIMENBER E _ j EL. 0SEASE -EA EMPLOYEE S I yes a9Q>a under 1/ SPECIALLIVOM Wow EL. DISEASE •POUCYLOAD S scga3o OTHER Rentecitialed Equip 5100,000 A INLAND IMRE* CIM0004375 011211=9 0172172010 Scheduled i Mac Equip MOM /SWAM installation 590`000 DESCRIPTION OF OPERATIONS I LOCATIONS INVADES /EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS '300 Y NOTICE CF CANCELLAIICN, EXCEFT FcRIa4PAYUWCHIS1OD4YS ' C ERTIFICATE HOLDER CANCELLATION °C SHOED ANYOFTHEA3OVEOESCRIIEDPOUCEIIECANCEL LED SWORE THE EXPIRATION U CRY CF ZIPlRYFILLS DATE THEREOF. THE IIIIl10 INSURER UNTIL ENDEAVOR TO MAIL 3O' GAYS AIRMEN w LL 5336 EIGHTH STREET NOTICE 10 THE CERTIFICATE HOLDER MIMEO 1O 11E LEFT, BUT FAILURE TO DO SO $HALL O IMPOSE NO CAUSATION OR LIABILITY OF ANY HIND UPON TIE INSURER, ITS EMS GR o ZEP RYI ♦LLS, FL 33E42 REPRESENTATIVES. J AUTIIOIB> ®REPIESE NTA <,NN> w cc ✓�? Oa ACORD 25 (21101108) 82 #.CORINGORPGRAWIGN4ise 0 c DELGADO ELECTRIC INC., P.O. BOX 151054 TAMPA, FL. 33684 (813) 876 -4782 FAX: (813) 876 -4787 September 15, 2009 City of Zephyrhills 5335 Eighth Street Zephyrhills, Fl 33542 00 00 L co co ° Subject: Permits To Whom It May Concern: 0 Please add Julius Condor, John Bell & Michael Hartnett to your list of persons who 00 can pull permits for Delgado Electric Inc. 015 O � ector Delgado EC 0012798 00 State of Florida, County of Hillsborough The foregoing was acknowledged before me this 15 Day of September 2009 by Hecto ) elgado o is perso i lkno Nolary= S of Florida 1. cLidL4 �� . MaryA __ Notary P .l' Print,Type S a E>. Y*403 1- 00 J 0 J 00 00 cc Li